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Individual
MRS. BONNIE B GATEAU
Active
Individual
MRS. BONNIE B GATEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15497
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157770
AETNA HMO
—
01
—
411592
OPTIMUM CHOICE
—
01
—
521914623001
TRICARE HEALTHNET
—
01
—
5257158
PPO
—
01
—
650014195
RAILROAD MEDICARE
—
01
—
KAA9
BCBS
MD
01
—
S8880001
CAREFIRST DC
—
Enumeration date
12/02/2005
Last updated
06/20/2013
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